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How to adjust the instrument during ultrasound examination (with step-by-step explanation– Part 2)

2.CDFI

·Use of CDFI: Check blood vessels, identify the nature of pipelines,

Identify arteries and veins, show origin and direction of blood flow,

Time phase, reflects the nature of blood flow, indicates fast blood flow speed

Slow, guided spectral Doppler sampling position

1)CDFI regular adjustment content (red text):

examination1

2)CDFI infrequently adjusts content

examination2

Total gain:

 examination3

Color box size and position

examination4

Image difference between too high, too low and moderate Scale

examination5

Color sampling frame deflection angle steer

Deflect along the direction of the blood vessel to make the blood flow in the cavity full and satisfactory.

examination6

Question 1: How to adjust ultrasound parameters to display low-speed blood flow?

1. Increase---gain

2. Reduce --- speed scale SCALE

3. Add --- sound output Output Power

4. Add --- frame average

6. Reduce---sampling area

6. Reduce --- the number of focus points (optimize focus)

7. Reduce --- distance

Reduce--sampling area show:

examination7

Question 2: How to Reduce color bleeding and remove aliasing?

1. Reduce--gain

2. Add--speed scale SCALE

Question 3: How to increase frame rate?

1. Reduce --- B mode size

2. Reduce --- depth

3. Reduce --- color sampling frame

4. Reduce --- frame average

5. Reduce --- the number of focus points

6. Reduce --- detection distance

3. Spectral Doppler adjustment method

1. Working method: If the flow rate is not high, choose PW, if the flow rate is high, choose CW.

2. Filter conditions: Low-pass filtering is used for low-speed blood flow, and high-pass filtering is used for high-speed blood flow.

3. Speed scale: Select the speed scale corresponding to the detected blood flow speed.

4. Sampling door: detect blood vessels, sampling door ≤ blood vessel inner diameter. Check intracardiac valves

The mouth sampling door is medium sized.

5. Zero baseline: moving the baseline can increase the measurement range in a certain direction and avoid errors.

Now aliased.

6. Frequency shift signal flips up and down: easy to measure, the instrument automatically envelopes the spectrum waveform.

7. Incident angle: cardiovascular examination ≤ 20, peripheral blood vessels ≤ 60, and the angle should be corrected.

8. Transmission frequency: A higher frequency is used for low-speed blood flow, and a lower frequency is used for high-speed blood flow.

PW often adjusts content

examination8 examination9

When the PW gain is too large

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When the range is moderate, too low or too high

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Sampling door size

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1. When the sampling door is narrow, there is little difference in flow velocity between adjacent layers, the "v-t" curve is narrow, and the window is large.

2. When the sampling door covers the entire lumen, the window is "completely filled"

examination13

baseline adjustment too high or too low

examination14

Question 5: HoW to Increase PW&CW sensitivity

1. Increase gain

2. Increase sound output

3. Increase sampling volume

4. Set the scanning angle appropriately

Note: Ultrasound instruments have preset conditions and are suitable for examining different organs and tissues.

Based on the preset settings, make appropriate adjustments according to specific conditions to meet diagnostic needs.


Post time: Dec-02-2023

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